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1871065961
JACLYN LONG
LOS ALTOS, CA
NPI
1871065961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 47100)
Enumeration Date
2018-12-30
Last Update Date
2023-12-03
Business Address
JACLYN LONG MFT
851 FREMONT AVE
LOS ALTOS, CA 94024-5698
Phone number: 650-297-3400
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Mailing Address
JACLYN LONG MFT
PO BOX 3156
HALF MOON BAY, CA 94019-3156
Phone number: 415-533-8012
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